The Board has granted service connection for hand tremors and insomnia, but denied service connection for muscle pain disorder, joint pain disorder, right lower extremity neurological disorder, left lower extremity neurological disorder, chronic fatigue disorder, digestive disorder, and syncope.
The deciding factor: The VA examiners provided opinions that the Veteran's symptoms were related to his service in Southwest Asia, with some overlap between PTSD and insomnia. The Board found an approximate balance of positive and negative evidence on these issues.
- Claimed conditions
- Hand tremors, Insomnia, Muscle pain disorder, Joint pain disorder, Right lower extremity neurological disorder, Left lower extremity neurological disorder, Chronic fatigue disorder, Digestive disorder, Syncope
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- Gulf War
- Rating assigned
- None in this decision
- Decision date
- March 31, 2026
- Citation
- A26029171
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Look up the original decision on VA.gov (opens in a new tab) using citation A26029171.
What this means for you
A grant means the Board agreed the veteran was entitled to the benefit. Decisions like this show the kind of evidence and arguments that tend to succeed for claims like it.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Board has remanded the case due to an inadequate opinion regarding the relationship between any current acquired psychiatric disorder and service, specifically a claimed in-service personal assault. The Veteran's contentions are that he did not report or seek treatment for this assault because he feared it would complicate his discharge.
- Denied
The Veteran's claim for a separate disability rating for insomnia is denied as it is subsumed under his service-connected PTSD.,The effective date for the grant of service connection for PTSD is denied as no new and material evidence was submitted within one year of the July 1986 denial, making the June 9, 2017, claim without legal merit.,The effective date for the grant of service connection for OSA is denied as no new and material evidence was submitted within one year of the April 2013 denial, making the June 9, 2017, claim without legal merit.
- Granted
The Veteran's service connection claim for insomnia is granted as the evidence supports a finding that his current insomnia began during and has continued since service, and was at least as likely as not caused by service.
- Granted
The Board has granted a 70 percent disability rating for the Veteran's service-connected MDD, including insomnia and anxiety disorder, effective from November 13, 2024. The decision concludes that the Veteran's symptoms have most nearly approximated occupational and social impairment with deficiencies in most areas.
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